cholecystectomy

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Introduction

Surgical removal of the gall bladder.

Indications

* laparoscopic cholecystectomy can be safely performed during pregnancy, epecially in the 2nd trimester[4]

* using strict criteria for cholecystectomy did not improve pain after 1 year[6]

* predictors of benefit for symptomatic cholelithiasis include older age, no history of abdominal surgery, pain radiating to back, nausea, no heartburn[7]

Procedure

Complications

Management

More general terms

References

  1. Wikipedia: Cholecystectomy http://en.wikipedia.org/wiki/Cholecystectomy
  2. Baron TH, Grimm IS, Swanstrom LL. Interventional Approaches to Gallbladder Disease. N Engl J Med 2015; 373:357-365. July 23, 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26200981 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMra1411372
  3. Thistle JL, Longstreth GF, Romero Y et al Factors that predict relief from upper abdominal pain after cholecystectomy. Clin Gastroenterol Hepatol. 2011 Oct;9(10):891-6 PMID: https://www.ncbi.nlm.nih.gov/pubmed/21699805
  4. 4.0 4.1 4.2 4.3 4.4 4.5 4.6 Medical Knowledge Self Assessment Program (MKSAP) 17, 19. American College of Physicians, Philadelphia 2015, 2021
  5. 5.0 5.1 Yoo ES, Yoo BM, Kim JH et al. Evaluation of risk factors for recurrent primary common bile duct stone in patients with cholecystectomy. Scand J Gastroenterol 2018 Feb 19 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29457922 https://www.tandfonline.com/doi/abs/10.1080/00365521.2018.1438507?journalCode=igas20
  6. 6.0 6.1 van Dijk AH, Wennmacker SZ, de Reuver PR et al Restrictive strategy versus usual care for cholecystectomy in patients with gallstones and abdominal pain (SECURE): a multicentre, randomised, parallel-arm, non-inferiority trial Lancet. April 26, 2019 PMID: https://www.ncbi.nlm.nih.gov/pubmed/31036336 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)30941-9/fulltext
    Guest RV, Soreide K Pain after cholecystectomy for symptomatic gallstones. Lancet. April 26, 2019 PMID: https://www.ncbi.nlm.nih.gov/pubmed/31036335 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)30959-6/fulltext
  7. 7.0 7.1 7.2 Latenstein CSS, Hannink G, van der Bilt JDW et al. A clinical decision tool for selection of patients with symptomatic cholelithiasis for cholecystectomy based on reduction of pain and a pain-free state following surgery. JAMA Surg 2021 Aug 11; 156:e213706. PMID: https://www.ncbi.nlm.nih.gov/pubmed/34379080 PMCID: PMC8358816 (available on 2022-08-11) https://jamanetwork.com/journals/jamasurgery/article-abstract/2782931
  8. 8.0 8.1 Comes DJ, Wennmacker SZ, Latenstein CSS et al Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Abdominal Pain and Gallstones: 5-Year Follow-Up of the SECURE Randomized Clinical Trial. JAMA Surg. 2024 Aug 21:e243080. PMID: https://www.ncbi.nlm.nih.gov/pubmed/39167382 PMCID: PMC11339699 Free PMC article.
  9. Gallstones and Laparoscopic Cholecystectomy http://consensus.nih.gov/cons/090/090_intro.htm

Patient information

cholecystectomy patient information